HomeMy WebLinkAbout213192 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $1,355.71
.% CARMEL, INDIANA 46032 PO BOX 7137
INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 213192
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 209131074 540 .26 FOOD & BEVERAGES
1207 4239040 209201467 733 . 11 FOOD & BEVERAGES
1207 4239040 209201468 82 .34 FOOD & BEVERAGES
Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
BROOKSHIRE GOLF CLUB...
12120 BROOKSHIRE PKWY SKbi 412940 209131074 4 1
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND ST
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INDIANAPOLIS, IN 46268
317-846-7431 D RIDAY 4 W EKS AFTER ORDE�.
'M
CITY OF CARMEL MANNH8 GfiRPTaMAR"ENAP UEL' I
1 CIVIC SQUARE DRIVER: JOHNSTON, LEWIS
CARMEL TM 4A()19 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FR 60-1.4. 60-2504 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE.
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D CS 600+5 G, M....iSE A...EC+++* ka;1*814 -SWE E T PkT 1619064 16090+64 28 *25+
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PAPER DISPOSABLE......'+
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D C 8 '850 CT 4Sl- `- PKIN++BEV 38 W14T 91141X''SY9' 60458 7 .2140.
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D: C$ MY"W" 19.3..8.. 6:09....60.........5.9.'." 25' : ' +' IA:101
434 :9::..
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TOTAL""..-+::::%::::: -: . I :::
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5 LB 3YS IMP ONION 99D PRE914 0 1039494 1019494 .... 9.84 9.'84+
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C 1 8 imp"ONION"YEL I ED 1/4"y" 6167860 "12",9 2 12'9 2-
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-............. ... 107 4-
I S 25 L8 8PLIMP SALAD 5" 1 2 10111 "'41 1 '08+
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TOTAL
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r�A CZPQ QP1 IT TQT PrC rIfFtp rRnIZIZ MIT 4:uu PM :.+, .**".,.`:
P.O. BOX 7137
INDIANAPOLIS IN
24 14.7 366 INDIA
2( 4 V12
-—---------
IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF R206-7137 STOUTAL
DELIVERY.SHORTAGE IN
0 R ANY,SHORt
A E AF
-T THa NE)
F ER Y U OIEE�IrE WILLC R,%POMRLE
AV NE BE E 0
0. PIECES T TAX
DRIVER'S No. PCs ICOST. NO. PCs TOTAL
SIGN DELVD. SIGN REC. INVOICE
CT TOTAL
THE —7—
OR BEFORE
JJ .
R AL I V 0 1 OP�8'0 PAYABLE ON 0
1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL
o 1!�Ul- PAYMENT�ISRECEIVE CONT. ON PAGE 2
GoodtNngs CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
,om come from
BROOKSHIRE GOLF CLUB...
12120 BROOKSHIRE PKWY ysay J.+ STOP 412940 209131074 4 2
SYSCO INDIANAPOLIS, LLC A101
CARMEL IN 46033 4000 W 62ND ST
INDIANAPOLIS, IN 46268 1441A&A--
317-846-7431 DUE F AY 4 WE KS AETEB gRDER
EEMRNIFESTt--1588 RMAL LIELIVERY
MA
LMA Y ILLELUZ
CITY OF CARMEL 0 SM139 GAE RPNZ
CIVIC SQUARE DRIVER: JOHNSTON, T.FWTS
RMET. TN 46012 EQUAL OPPORTUNITY ACTION CLAUSES OF 41 CFR 60-1.44 60-250 4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE.
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at vli��
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T+-
OFEN: /:UU AM Uubt: G:UU FM
_JUL P.O. BOX 7137
INDIANAPOLIS IN SUB
IMPORTANT: PERISHABLE PRODUCT NOT ELIGIBLE FOR RETU EF 46206-7137 TOTAL
Hly PRODUCTS N ,T 540.26
ELIIIE.Y. PLE AFTER WILL N BE RE ij IE
I X
2( 4 24 14.7 366 FOR ANY SHORI&IF AVA i EM PIECES RECEik.0
DRIVER'S ——————-NO. PCs COST.x NO. PCs TOTAL
DELVD. SIGN REC. INVOICE
I
u A Y T TOTAL
540.26 DI 0 X11 C169A
%2 C31
RC
WLIC
CTS C
C
,C?, PAY
C ABLE ON OR BEFORE
9 F0UELRL1VPA0YFMRE0NMT IS RECEIVED.COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS AIROM THE SALE OF THESE COMMODITIES UNTIL 10/12/12
LAST PAGE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF $
4000 W 62nd Street
Indianapolis, IN 46268
$540.26
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 209131074 I 42-390.40 I $540.26 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, September 14, 2012
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/13/12 209131074 Food $540.26
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
come from .. '
`;i;DEIV.:'DAYE' ."'C r1STD,MER"'i:..:'':`:.:':::::..
BROOKSHIRE GOLF CLUB... c
12120 BROOKSHIRE PKWY 0,
" TR.CK s QP 412940 209201467 5 1
SYSCO INDIANAPOLIS, LLC
I. CARMEL IN 46033 4000 W 62ND ST ,>:..::>.;ROIw .: .......
_
f 'DAY
INDIANAPOLIS, IN 46268 4464 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
MANI L NORMAL DELIVERY
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: AYER , AARON
CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE
fti ITEM UiVET ::. EXTENDED T: INVOICE A
C3TY PAC SIZE `. ITf M DESCRIPTION CODE PRICE';;:, PRICE x CODE OTY
......:... :... DA,I RY. ,
C NL„ 5 LB BRLCLS. CHEESE AMER, YEL.„1,20 SLI 28131 6697,114 17 80 17.80
S 3603/8 OZ,HLFARM CREAMER HALF &. HALF SHF STBL 510.5700;.811.6.0.55.....14:94 1,4 9.4
GROUP TOTAL**>F>F. 3:2.14
.
MEATS:..* >F..:
... .. ....... .
,:;
S 605 330= AB BEEF PATTY TKBR ZN ""'
GRND. 5;::.:. ;;,GR FR 99763151::67030.49 .:..57.8:8.: .13.5.76.
51110 LB BRLCLS..FRANK, ALL-MEAT,.5X1 6 IN 37736-0.7.0 113773.6::..::25..•:32 75. 9.6 .. ........`>::
. :.FROZEN ** .
GROUP...TOTAL** . : 2.1'1.. 2.
..
5... 5 .LB YS .IMP, POTATO FRY ,3/8. SKON PHANTM PLU SY0031.08 435.6,46,.5. 31.62. 3,1.62 ..
G:ROtJP:'TOTAL* 3'1.62
*:. CANNED & DRY
S NL_24 CT ERSHEY. CANDY BAR PAY DAY__ 8,0723 703041.4 16.59 16.59_
,.... .
.:.....: ....
NL 48 CT„ NICKER CANDY BAR SNICKER 2.07 OZ 01,202 434838,9 32.61 32.61
S 1.60 CT AYS CHIP VARIETY SYSCO/FR1TO LAY 31831 6586721 26.98 26.98
:. >
S 1624b2 4SE REC KETCHUP SQUEEZE BTL HOUYA24 9617218 26.76 26.76
S 5.0.07/160Z „SE REC MAYONNAISE PACKET FOIL 1606854 1606854 41.25 41:25
S ' 106 O= ELPASO PEPPER JALAPENO SLI JUG PAC 4600088232 7977150 59 6I 59.61
S 135 LB YS REL SHORTENING FRY LIQq CREAMY ZTF 99947-COM 4119509 29.98 59.96
X.
::GROUP TOTAL***:*:: 2:63.76::
.
PAPER & DISPOSABLE
is NL 500CT SYSCO FOIL SHEET 9X10.75IN SILVER W69372 6938500 12.98 12.98
S 4100,CT YS, ,CLS GLOVE LATEX FDSVC PWDRFREE MED 304750022 8,347841 " 39 9,6 39.96 ........
;.:.:..:.:. _ GROUP :TOTAL**** 52.94 .
** PRODUCE ***
LAC S 25""LB YS NAT LETTUCE ROMAINE ,GOURM SNGLS 5063599 29.'49 29.4'9
N REMIT TO:: ..
P.O. BOX 7137
A.2 1 4 19 12.7 305 INDIANAPOLIS IN SUB
q IMPORTANT:AGRFF W.IT P ERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206-7137 TOTAL
FOR VARY SHORTAGE AFTER YIOUI HVAVIE E$IGNEO IP ECEOST RECEI vS MUSTE TAX
DRIVER'S
NO. PCs COST. lJ O. PCS TOTAL
SIGN DELVO. SIGN REC.
C ME EI7 Eg LggET GoI H g Mo go g C3 U 7 C q 9E7 R HF gEgLL p INVOICE
I TTH, pP FRI SEHpA S �`418ryLT51C OF �US TAN�C RA IM AOVER�THESE TCOMMODCMIES,D�TIESL CT O IE S170F SFOOD90R�C YHER PRODEUCTS PAYABLE ON OR BEFORE TOTAL
THESE C MM ITI TROETAIN A T ALL I VE
I DERIVED FROM THESE COMMODITIES, D ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2
o FULL PAYMENT IS RECEIVED.
Goodomefrom pELv, tr ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
things CUSTOMER'S
BROOKSHIRE GOLF CLUB+++ ® � E cusroMER.;:
12120 BROOKSHIRE PKWY TR cK s oe,.. 412940 209201467 5 2
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND STD?:;.: 1p 11T
14 ell F
INDIANAPOLIS, IN 46268 ,
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: AYER , AARON
CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60-1.4, 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE.
<::Z.. : .. ..:,:;;...:.'.. ITEM:',:;�'"'.�UNET':::,.,%� ':::�EXTENDED:�'
PA SIZE "..::
:TY . .. ....G... . .. ... ITE .:RE$GRIPTION . .
A. ...
:::......:.: ::::. .:... .. .., ...:,::::... .... ...M:...._:: ...:. ,,....... ...: '.:, .. ::::C DE:::,:,. :::.P.R6CE: ,i;ii:;;:..P..R;ICE'.; :'c'o::s
......... .........
0
S 15.>LB . YS IMP"ONION` RED`;FRESH JUMBO. 1039494R039494 9.84 . 9.84 Ty
....;:
;� 7 '. ..
C ..:: S : 7...LB YS::CLS::.SALAD GQLESLAW:>:DIXIE CHPD ::.;:.. 1117.6::768.6 .9002908 22.55 ::: 45.10:
V�`;;' ' S':":. 5 LB"': YS CLS SALAD TUNA:;WjCELtRY: & PICKLE 71117.68049 6724249 41.08 :41:08:: "
............. .... .....
l:. .. :. 2 . .::::::::'l4:'.:.
`X Y >:MP::>T MA:T. :.;.1 LA' RES.H:: „'
0.0.8.6 3 0 14 8
C . 6 5 6 S..:I ..::.:. .O O YER::.F. ;.. .. .. . . . ,...... .8 2_
GROUP...TOTAL 140.33
;: R :`: R:Y::; ;;:' :>:: :• 74 34
:. .
D 8
........................ ..... .. .
0
. .
REMIT TO;::
P.O. BOX 7137
z 5 2.1 60 INDIANAPOLIS IN SUB
p IMPORTANT:
PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN gAFTE 4206-7137 TOTAL 733.11
E 2 4 24 14.8 365 �OR VANV SHORTAGE AFTER YIOUI HVAVIE E$IGNEO WILL NOT FECEIV P MUSTE
TAX
DRIVER'S NO. PCS CUST. NO. PCs TOTAL
i DELVD. SIGN REC.
I THE SIGN 77 pp �gSEEHHpp gggg��yyEE SSgqEECC IICCryry 55 pp��77 EE E7 ESS g 11 FT GoRI UL L MMp E Cg7 gE C3 I� C gE7 HE SES p INVOICE
7 THESECOMMODITIE S�ROETAi�C�AFTRUST�CRA IMAO VERATHESE TCOMMODITIES,DIALSINVEFITOR IESI70FFOOD90R�CTHER PR�OUCTS TOTAL 733.11
PAYABLE ON OR BEFORE
DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE $ALE OF THESE COMMODITIES UNTIL 10/19/12 LAST PAGE
o FULL PAVME NT IS RECEIVED.
Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
come from
BROOKSHI RE GOLF CLUB... ��®��®� DEI9/20/`12—
CUS,TOMER'>s;!;"i':''
12120 BROOKSHIRE PKWY TRC—K, OP7 412940 209201468 3 1
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND ST RouE::'';':
INDIANAPOLIS, IN 46268 `S ANC FR
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: AYER , AARON
CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE.
PA n1IZE. »»;;;:;;.:::;;.;y,;;i:i: a:::::.: ;ITEM'' UNIT :;;:.;'.;:.;:EXT� DED:.:':A
QTY::: N C.. ITEM DESCR,IPTIOW:
r CQDE PRICE PRICE
hTy
FROZEN
S 2 , 6 4 OZ BRLCLS SANDWICH BI;SC SAUS/EGG/CHS IW 3381092 3381092 38.67 38.67
F S 245.6" OZ BRLCLS SANDWICH BISCUIT BAC/EG%CH IW 3390887 3390887 38...6.7 38 667
GROUP :TOTAL *** 77.'
MI"$:. ... ....:CHARGE S HG$„FOR FUEL SURCHARGE 5.100
OADE R S RY 74835 »<
.. . .
P.O. BOX 7137”
2 1.2 21 INDIANAPOLIS IN SUB t
R IMPORTANT: PERISHABLE PRODSSUCTS ARE NOT ELIGIBLE FOR RETURN g gAFTE 4206-7137 TOTAL 82.34
2 1.2 21 FDO RI ANY SHORTAGE AFTER VIO UI HAVE E$I GNEO IPIECEOST BE VIP MUSTE'RF Ar
E TAX
v
NO. PCS CUST. NO. PCs TOTAL
DRIVER'S
I DELVD. SIGN REC.
gSI7EGHNpEgE� gg�yE S C 5U p�7 ME EI7 ES Lg LgFT GoR �JL L MMp gE C Eg3 U C q gE R7 E gEL p INVOICE
THESE RCOMMODITSRI�OAI�CS�AFTRUSTO�C RAIMAOVER�THESE TCOMMODITIES,D�ALL�INVENTORIESI OF'FOOD90R�C7HER PROOUCTS PAYABLE ON OR BEFORE 70TAL 82.34
1 DERIVED FROM THESE COMMODITIES, AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 10/19/12 LAST PAGE
o FULL PAYMENT IS RECEIVED.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF $
4000 W 62nd Street
Indianapolis, IN 46268
$815.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/-TITLE AMOUNT Board Members
1207 209201467 42-390.40 $733.11 1 hereby certify that the attached invoice(s), or
1207 209201468 42-390.40 $82.34 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, September 21, 2012
21 �Al
Director, Brookqlire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/20/12 209201467 Food $733.11
09/20/12 209201468 Food $82.34
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer